FCC Singing Valentine Order Form
A "Singing Valentine" ($45) includes a Love Song, a fresh red rose, some kisses (Hershey’s that is), and a special custom card. Each additional rose/card combo is $5.00. Special specific time requests adds $20.00.
Preliminary question - have you ever heard of the Fun Center Chordsmen?
Valentine Recipient Name
First Name Last Name
Please provide performance location type.
Not applicable (Phone)
What street address will the quartet be traveling to for this performance? Enter "N/A" if a phone SV.
What city will the quartet be traveling to for this performance? Enter "N/A" if a phone SV.
Performance Zip Code
Zip Code of Performance Site. Enter "N/A" if a phone SV.
How to contact the gift giver/purchaser
Choose one below.
xxx-xxx-xxxx / number associated with previous question
If a "Phone" Valentine, what number should we call the recipient at?
How did you know about this online form?
Word of mouth
Local Advertisement (table, flyer, poster)
Can we credit this order/sale to a specific Chordsmen? If so, what is the first and last name of the Chordsmen you'd like to apply this order to?
Would you like to receive future information related to Chordsmen activities, delivered via email? Can provide email address later in this order form.
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